N3632 Final Exam Review Questions with complete solution
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Course
NURS 3632
Institution
NURS 3632
N3632 Final Exam Review Questions with complete solution N3632 Final Exam Review
What is an assessment? - correct answer systematic and continuous collection, analysis, validation, and communication of patient information
Differentiate between a medical and a nursing assessment. - correct ...
N3632 Final Exam Review
What is an assessment? - correct answer ✔systematic and continuous
collection, analysis, validation, and communication of patient information
Differentiate between a medical and a nursing assessment. - correct answer
✔Medical -- focuses on pathologic conditions
Nursing -- focuses on patient's *response* to health problems
What are the characteristics of an assessment? - correct answer
✔Purposeful
Prioritized
Complete
Systematic
Factual and accurate
Relevant
Recorded in a standard measure
Identify the 4 types of nursing assessments - correct answer ✔Initial
,Focused
Ongoing/partial
Emergency
When would an nurse complete an INITIAL assessment? - correct answer
✔when a person enters a health care facility
used to establish baseline data for problem identification and care planning
When would a nurse complete a FOCUSED assessment? - correct answer
✔after a specific problem has been identified
When would a nurse complete an ONGOING assessment? - correct answer
✔when a patient enters a health care facility for a follow up visit
Used to compare a patient's current status to the baseline data obtained
during the initial assessment
When would a nurse complete an EMERGENCY assessment? - correct
answer ✔when a patient has a very severe/dire status
used to identify life-threatening problems
ABCs
What are 3 purposes of a nursing diagnosis? - correct answer ✔Identify
*responses* to actual or potential health and life processes
,Identify *factors that contribute to or cause* health problems
Identify ways to *prevent or resolve* health problems
(Responses, factors, prevention)
What is a nursing diagnosis? - correct answer ✔intervention that prevents or
resolves actual or potential health problems
written in such a way that nurses can independently treat the patient problems
Examples: activity, pain or comfort, tissue integrity, and perfusion
Give examples of a Medical diagnosis vs. Nursing diagnosis. - correct answer
✔Medical: myocardial infarction
Nursing: fear, altered health maintenance, deficient knowledge, and altered
tissue perfusion
What is ALFARO's rule? - correct answer ✔states that the word "diagnosis"
implies there's a situation or problem requiring appropriate, qualified treatment
If you /identify/ the problem, you must then decide if you are /qualified/ to treat
it and willing to accept /responsibility/ for treating it. If not, you are responsible
for getting help
, What is the purpose of the planning step? - correct answer ✔to design a plan
of care with and for the patient that results in prevention, reduction, or
resolution of health problems and meets patient's expectations
What are the 3 basic steps to planning? - correct answer ✔Initial
Ongoing
Discharge
Explain initial planning - correct answer ✔address problems listed in nursing
diagnosis and identify goals and how to meet them
Explain ongoing planning - correct answer ✔using new data to make the
plan more specific and accurate
Explain discharge planning - correct answer ✔helping the patient and family
develop sufficient knowledge and skills to carry out self-care behaviors at
home
Discuss SMART goals - correct answer ✔S -- specific
M -- measurable
A -- attainable
R -- reasonable
T -- timebound
What is the purpose of the implementation step? - correct answer
✔implement or carry out the agreed up on goals during the planning step
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